Clutterbuck, Elaine

Clutterbuck, Elaine is an individual health care provider with primary practice located at 397 Louisiana St , Buffalo NY 14204-2275. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Clutterbuck, Elaine can be contacted via phone (716) 847-6610.

Contact Information

Primary practice address
397 Louisiana St Buffalo NY 14204-2275
Phone: (716) 847-6610
Fax: (716) 854-3052
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 000223 New York

Profile Details

NPI number 1124081070
LBN Legal business name Clutterbuck, Elaine
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Mar 13th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124081070 NPPES
New York Other 00010252101 UNIVERA
New York Other 2012804 UNIVERA
New York Other 5008733 UNIVERA
New York MEDICAID 00466393 UNIVERA
New York Other 005600462 UNIVERA

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